Holiday Closure

ATTENTION: HealthWell Foundation’s hotline will be closing at 3:00 p.m. on Wednesday, November 24, 2021 in observance of the holiday and will reopen on Monday, November 29, 2021 at 9:00 a.m. We encourage you to continue to use our Patient, Pharmacy and Provider Portals during this time.  If you are contacting us about a payment or grant, please email us at and a representative will respond to your message as quickly as possible when our office reopens on Monday. The HealthWell Team wishes you and yours a happy, safe and healthy holiday.

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Hepatitis C



If you have private insurance
and meet our eligibility guidelines,
you may use your HealthWell Foundation
grant in conjunction with manufacturers assistance. Learn more



Fund Type


Maximum Award Level


Pharmacy Card Fund


Household Income Limit

500% of the Federal Poverty Level
(adjusted for household size and high
cost of living areas)

Treatments Covered

  • Alferon N
  • Amantadine Hydrochloride
  • Avonex
  • Copegus
  • Daklinza
  • Eltrombopag
  • Epclusa
  • Epogen
  • Flumadine
  • Harvoni
  • Intron-a
  • Intron-a W/ Diluent
  • Ledipasvir/sofosbuvir Blister Pack
  • Mavyret
  • Moderiba
  • Olysio
  • Pegasys
  • Pegintron
  • Procrit
  • Promacta
  • Rebetol
  • Rebif
  • Retacrit
  • Ribasphere
  • Ribavirin
  • Sofosbuvir/velpatasvir Blister Pack
  • Sovaldi
  • Sylatron
  • Technivie
  • Victrelis
  • Viekira Pak
  • Viekira Xr
  • Virazole
  • Vosevi
  • Zepatier

Fund Definition

Assistance with the prescription drugs and biologics used in the treatment of Hepatitis C.

Grant Utilization

HealthWell estimates that patients use an average of $5,270 during their 12-month grant period for this disease area.

Do I Qualify?

HealthWell bases eligibility on an individual’s medical, financial and insurance situation. To qualify for HealthWell’s assistance, applicants must meet the following eligibility requirements:

  • 1. You are being treated for Hepatitis C.

    Please make sure that HealthWell currently has a fund for your diagnosis/indication and that your medication is covered under that fund by visiting our Disease Funds listing. If we do not have a fund that currently covers your diagnosis, please check back as we frequently open and reopen programs as funding becomes available. The Foundation is able to help patients receiving treatment for indications for which we currently have an open fund. We can only assist with medications that have been prescribed to treat the disease/covered diagnosis. You will be asked to provide the Foundation with the patient’s diagnosis, which must be verified by a physician, nurse practitioner, or physician assistant’s signature. The patient must receive treatment in the United States.

  • 2. You have insurance and it covers your medication.

    To qualify for assistance from HealthWell, you must have some form of health insurance (private insurance, Medicare, Medicaid, TriCare, etc.) that covers part of the cost of your treatment. The Foundation will refer patients without prescription insurance to other programs, such as manufacturer patient assistance programs.

  • 3. Your income falls within our guidelines.
    HealthWell assists individuals with incomes up to 400-500% of the Federal Poverty Level. The Foundation also considers the number in a household and cost of living in a particular city or state. If you believe you qualify for assistance, you may begin the application process here.
  • 4. You are receiving treatment in the United States.

    If you are receiving treatment in the U.S. and have met the eligibility criteria as listed, you are ready to apply! Please note that you will be asked to provide a Social Security Number in order to create a grant. This information is gathered to eliminate duplicate applications and is kept secure and confidential.


About Hepatitis C

Hepatitis C is a liver disease caused by the hepatitis C virus (HCV). HCV causes the liver to swell and prevents it from working well. HCV is passed from person to person by blood. It is most often transmitted when a person’s blood comes into direct contact with infected blood. Source: American Liver Foundation


Additional Resources

You may also visit our Resource List to view other copayment organizations that may provide assistance.

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